Mob hlab ntsha tawg tshwm sim thaum cov ntshav ntws mus rau koj lub paj hlwb raug cuam tshuam, ua rau koj lub hlwb lub hlwb raug kaw, vim tias lawv tsis muaj cov pa tsim nyog thiab cov as -ham los ua haujlwm. Strokes yog qhov thib peb ua rau tuag hauv Asmeskas thiab UK thiab ua rau 10% ntawm cov neeg tuag thoob ntiaj teb. Nws yog ib qho tseem ceeb uas koj yuav tsum paub paub cov cim qhia ntawm mob hlab ntsha tawg, tshwj xeeb tshaj yog tias ib tus neeg uas koj paub muaj kev pheej hmoo mob stroke. Muaj kev kho mob kom txo qis qhov kev puas tsuaj los ntawm mob stroke, tab sis tus neeg yuav tsum raug coj mus rau tom tsev kho mob tsis pub dhau ib teev tom qab pom cov tsos mob.
Cov kauj ruam
Ntu 1 ntawm 2: Paub txog Cov tsos mob ntawm tus mob Stroke
Kauj Ruam 1. Nkag siab qhov sib txawv ntawm mob stroke thiab mob stroke me
Muaj ob hom kab mob loj: mob ischemic stroke, uas tshwm sim los ntawm cov ntshav txhaws hauv koj lub paj hlwb, thiab mob hlab ntsha tawg, los ntawm cov hlab ntshav hauv koj lub hlwb uas tawg thiab ntshav hauv lub hlwb. Hemorrhagic strokes yog tsawg dua ischemic strokes, vim tsuas yog kwv yees li 20 feem pua ntawm cov hlab ntsha tawg yog hemorrhagic. Ob hom kev mob hlab ntsha tawg yog mob hnyav thiab tuaj yeem ua rau tuag taus yog tias tus neeg tsis kho sai li sai tau.
Mini-strokes, tseem hu ua transient ischemic attacks (TIA), tshwm sim thaum koj lub hlwb tau txais ntshav tsawg dua li ib txwm. Lawv tuaj yeem kav ntev li ob peb feeb mus txog ib hnub. Coob leej neeg uas tau ntsib mob stroke me me tsis txawm paub tias lawv tau mob stroke, tab sis cov kab mob me me tuaj yeem yog kev ceeb toom ntawm mob stroke tag nrho. Yog tias ib tus neeg muaj mob stroke me me, lawv yuav tsum tau txais kev kho mob tam sim ntawd
Kauj Ruam 2. Saib ob lossis ntau qhov tsos mob ntawm tus mob stroke
Cov neeg feem coob uas raug mob stroke yuav nthuav tawm ob lossis ntau yam ntawm cov tsos mob tshwm sim ntawm tus mob stroke, suav nrog:
- Loog sai lossis tsis muaj zog ntawm lub ntsej muag, caj npab, lossis txhais ceg ntawm ib sab ntawm lawv lub cev.
- Nyuaj nyuaj pom tawm ntawm ib lossis ob lub qhov muag.
- Nyuaj nyuaj taug kev, nrog rau kiv taub hau thiab poob qhov sib npaug.
- Tsis meej pem thiab nyuaj tham lossis nkag siab ib tus neeg tham nrog lawv.
- Mob taub hau tsis zoo tam sim uas tsis muaj laj thawj meej.
Kauj Ruam 3. Ua qhov kev xeem F. A. S. T
Nws tuaj yeem nyuaj rau ib tus neeg uas raug mob stroke los piav lossis piav qhia lawv cov tsos mob. Kom paub tseeb tias tus neeg muaj mob stroke, koj tuaj yeem ua qhov kev sim sai, hu ua F. A. S. T. xeem:
- Lub ntsej muag - Hais kom tus neeg luag ntxhi. Txheeb xyuas yog tias ib sab ntawm lawv lub ntsej muag poob lossis zoo li loog. Lawv luag yuav zoo li tsis sib luag lossis lopsided ntawm ib sab ntawm lawv lub ntsej muag.
- Caj npab - Hais kom tus neeg tsa ob txhais caj npab. Yog tias lawv tsis tuaj yeem nqa lawv txhais caj npab, lossis yog tias ib txhais caj npab txav qis, lawv yuav muaj kev mob stroke.
- Hais Lus - Nug tus neeg cov lus nug yooj yim, zoo li lawv lub npe lossis hnub nyoog lawv. Nco tseg yog tias lawv cov lus raug slurred thaum lawv teb rau koj lossis yog tias lawv muaj teeb meem tsim cov lus.
- Lub Sijhawm - Yog tias tus neeg qhia pom ib qho ntawm cov tsos mob no, nws yog lub sijhawm hu rau 911. Koj tseem yuav tsum txheeb xyuas lub sijhawm kom paub tseeb tias tus neeg tus tsos mob tshwm sim thawj zaug, vim tias cov neeg ua haujlwm kho mob yuav siv cov ntaub ntawv no los saib xyuas tus neeg zoo dua.
Ntu 2 ntawm 2: Tau Txais Kev Kho Mob rau Tus Neeg Mob Stroke
Kauj Ruam 1. Hu rau 911 kom pab kho mob sai li sai tau
Thaum koj paub tseeb tias tus neeg muaj mob stroke, koj yuav tsum tau ua tam sim ntawd thiab hu rau 911. Koj yuav tsum qhia tus neeg xa xov ntawd tias tus neeg ntawd muaj mob stroke thiab xav tau kev kho mob tam sim. Kev mob hlab ntsha tawg yog suav tias yog kev kho mob xwm txheej ceev, vim tias cov ntshav ntws mus ntev ntev raug txiav tawm hauv lub hlwb, qhov kev puas tsuaj rau lub paj hlwb ntau dua.
Kauj Ruam 2. Cia tus kws kho mob kuaj thiab tshuaj xyuas
Thaum koj tau txais tus neeg raug mob stroke mus rau tsev kho mob, tus kws kho mob yuav nug tus neeg cov lus nug, xws li tshwm sim dab tsi thiab thaum twg lawv pib muaj cov tsos mob tshwm sim. Cov lus nug no yuav pab kws kho mob txiav txim siab yog tias tus neeg ntawd xav meej meej thiab mob stroke zoo li cas. Tus kws kho mob tseem yuav ntsuas tus neeg lub siab xav thiab xaj ntau qhov kev sim, suav nrog:
- Kev ntsuas duab: Cov kev ntsuas no yuav muab cov duab meej ntawm tus neeg lub hlwb, suav nrog CT scan thiab MRI scanning. Lawv yuav pab kws kho mob txiav txim siab tias mob hlab ntsha tawg yog los ntawm kev txhaws lossis los ntshav hauv lub hlwb.
- Kev ntsuas hluav taws xob: Tej zaum koj yuav tau muab EEG (electroencephalogram) los sau cov hluav taws xob thiab cov txheej txheem ntawm lub paj hlwb, thiab EKG (electrocardiogram) txhawm rau ntsuas cov hluav taws xob ua haujlwm ntawm lub plawv.
- Kev ntsuas ntshav ntws: Cov kev ntsuas no yuav qhia qhov hloov pauv ntawm cov ntshav ntws mus rau lub hlwb uas tuaj yeem tshwm sim.
Kauj Ruam 3. Sib tham txog kev kho mob nrog tus kws kho mob
Qee qhov mob hlab ntsha tawg tuaj yeem kho nrog tshuaj hu ua tPA, uas ua rau cov ntshav txhaws uas cuam tshuam cov ntshav ntws mus rau lub hlwb. Txawm li cas los xij, lub qhov rooj ntawm txoj hauv kev rau kev kho yog peb teev, thiab kev kho mob muaj cov lus qhia tshwj xeeb rau nws daim ntawv thov. Nws yog ib qho tseem ceeb uas tus neeg tau mus rau tom tsev kho mob tsis pub dhau 60 feeb ntawm tus mob stroke kom raug tshuaj xyuas thiab tau txais kev kho mob no.
- Ib txoj kev tshawb fawb tsis ntev los no los ntawm National Institute of Neurological Disorders and Strokes (NINDS) pom tias qee tus neeg mob stroke uas tau txais tPA tsis pub dhau peb teev ntawm qhov pib ntawm lawv cov tsos mob stroke yog 30 feem pua feem ntau yuav rov zoo li qub lossis tsis muaj xiam oob qhab tom qab peb lub hlis.
- Yog tias tus neeg tsis tuaj yeem muaj tPA, tus kws kho mob tuaj yeem sau tshuaj antiplatelet lossis ntshav ntshav rau TIA, lossis mob stroke me.
- Yog tias tus neeg muaj mob ntshav hauv ntshav, tus kws kho mob yuav sau ntawv tshuaj los txo lawv cov ntshav siab. Nws kuj tseem yuav coj tus neeg tshem tawm cov tshuaj antiplatelet lossis cov ntshav ua kom yuag.
- Kev phais yog ib txoj kev kho mob hauv qee kis.
